
UITR-6a Page 2 (R 11/2010)
INSTRUCTIONS
MULTIPLE QUARTER ADJUSTMENT OF WORKERS’ WAGES
This form should be used to report worker wages never reported before, to correct previously reported wages, or to transfer earnings
from one employer unemployment insurance account to another. Please use an additional form for each additional year to be adjusted.
1. ALL EMPLOYERS MUST COMPLETE THIS
SECTION
Employer Account Number—the current 9-digit
unemployment insurance account number under
which wages are to be reported.
List the name(s) of the owner, partners, or
corporation.
Report the DBA or the trade name of the
business, if applicable.
2. THIS SECTION SHOULD ONLY BE
COMPLETED IF WAGES WERE
INCORRECTLY REPORTED UNDER
ANOTHER ACCOUNT NUMBER
Employer Account Number—the incorrect 9-
digit unemployment insurance account number
from which wages should be deleted.
List the name of the owner, partners, or
corporation.
Report the DBA or the trade name of the
business, if applicable.
3. EMPLOYEE SOCIAL SECURITY NUMBER
List the social security number (SSN) of the worker.
You must provide the SSN to report new wages or
for correcting previously reported wages.
4. NAME OF EMPLOYEE
Please type or print the worker’s name. Confirm that
the correct SSN has been listed for the worker listed.
5. TOTAL WAGES PAID
Report the total wages paid in the calendar quarter.
If correcting wages, do not report the difference.
List only those employees whose wages require
correction.
6. COMMENTS
Note any additional information that might be needed
to clarify the reason for submitting this wage-
adjustment report.
7 through 10. PREPARER’S INFORMATION
This section is to be completed by the person actually
completing and submitting this document. Please
include a telephone number.